The Centers for Medicare & Medicaid Services (CMS) is responsible for implementing laws passed by Congress related to Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program. To implement these programs, CMS issues various forms of guidance to explain how laws will be implemented and what states and others need to do to comply. In addition to regulations, CMS issues sub-regulatory guidance to address policy issues as well as operational updates and technical clarifications of existing guidance.
Federal Policy Guidance
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2024 Home and Community-Based Services (HCBS) Quality Measure Set (QMS)
Date:
Topics:
- Long-Term Services & Support
- Quality of Care
- Program Administration
Type: Informational Bulletin
Home and Community-Based Services (HCBS) Quality Measure Set (QMS) Reporting Requirements for Money Follows the Person (MFP) Demonstration Grant Recipients
Date:
Topics:
- Long-Term Services & Support
- Quality of Care
- Program Administration
Type: Informational Bulletin
Medicaid Program; Streamlining the Medicaid, Children’s Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes (CMS-2421-F2)
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
- Basic Health Program
Type: Regulations
Conducting Medicaid and CHIP Renewals During the Unwinding Period and Beyond: Essential Reminders
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Renewals
- Program Administration
- COVID-19
- Unwinding
Type: Informational Bulletin
Links:
Administrative Claiming for Nurse Advice Lines and for Skilled Professional Medical Personnel for Certain Behavioral Health Professionals (SMD 24-001)
Date:
Topics:
- Program Administration
Type: State Medicaid Director Letter
Frequently Asked Questions (FAQs) Improving Maternal Health and Extending Postpartum Coverage in Medicaid and the Children’s Health Insurance Program (CHIP) (SHO #21-007)
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Program Administration
Type: Frequently Asked Questions
2024 Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
Ensuring Eligible Children Maintain Medicaid and Children’s Health Insurance Program Coverage
Date:
Topics:
- Eligibility
- Program Administration
- Children's Health Insurance Program
- COVID-19
- Unwinding
Type: Informational Bulletin
Links:
Guidance to State Medicaid Agencies on Dually Eligible Beneficiaries Receiving Medicare Part B Marriage and Family Therapist Services, Mental Health Counselor Services, and Intensive Outpatient Services Effective January 1, 2024
Date:
Topics:
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
Initial Core Set Mandatory Reporting Guidance SHO
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: State Health Official Letter